Organization Active NPI

Cogleap Centers for Cognitive and Emotional Health, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • San Jose, CA
National Provider Identifier
1609610625
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
COGLEAP CENTERS FOR COGNITIVE AND EMOTIONAL HEALTH, INC.
Practice address
1072 S de Anza Blvd Ste A201
San Jose, CA 95129-3544
Phone
(650) 492-9528
NPI assigned
Jun 24, 2024
Last updated
Jul 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lauren Stockly, LCSWNPI 1104240142
Title
Director
Phone
(650) 492-9528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

1072 S de Anza Blvd Ste A201
San Jose, CA 95129-3544

Mailing address

1072 S de Anza Blvd Ste A201
San Jose, CA 95129-3544
Phone (650) 492-9528

National Provider Directory

National Provider Directory

Locations

1072 S De Anza Blvd
Ste A201
San Jose, CA 95129
Phone (650) 492-9528

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1609610625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 S DE ANZA BLVD STE A201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293544",
            "telephone_number": "650-492-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 S DE ANZA BLVD STE A201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293544",
            "telephone_number": "650-492-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGLEAP CENTERS FOR COGNITIVE AND EMOTIONAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "STOCKLY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "650-492-9528",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.